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HomeMy WebLinkAbout1681 DOCENA RD; ; CB043400; Permit09-09-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB043400 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1681 DOCENARDCBAD POOL 2159100500 Lot# $13,12500 Construction Type CROWLEY RES 375 SF POOL - 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 08/30/2004 SB 09/09/2004 09/09/2004 Applicant DE MARIA LANDSCAPE P O BOX 87 SOLANA BEACH CA 92075 619481-5500 Owner CROWLEY MICHAEL F 1681 DOCENARD CARLSBAD CA 92009 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $13049 $000 $8482 $000 $2000 $2700 $1 31 $000 $000 $000 $000 $263 62 Total Fees $263 62 Total Payments To Date $84 82 Balance Due $17880 BUILDING PLANS VsIN 0751 09/09/04 0002 01 CGP 02 178-00 STORAGE _SLATTACHED Inspector FINAL Date _Clearance NOTICE Please taKe .NOTICE thai approval of your project includes the Imposition' of fees, dedications reservations, or other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLIC CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT: INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit. VahdatedJSy^ Date r BusmessNamelatth^addfe 08/30/04 0002 01 02Address (include Bldg/Suite #} Phase NoCtSFtotal # of unitsLegal Description Lot No Subdivision Name/Number Unit No 5~ Assessor's Parcel ff Existing Us<Proposed Use Description of Work CONTACT PERSON (if different from applicant) SQ FT #of Stories # of Bedrooms # of Bathrooms Name 3 iii= APPLICANT .!;:' 00 Contractor Address QWgent for Contractor ::;;["] Owner City D Agent fohOwner State/Zip Telephone #Fax # Name 4 PROPERTY OWNER Address City State/Zip Telephone # Address City State/Zip Telephone ffName 5 'CONTRACTOR - COMPANYliNAME '"; '"'•• -"?•••- " <r '""' . '• ^Hkl.. (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor s License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) Name State License ft Address License Class C-> J ^) City State/Zip City Business License # Telephone # Designer Name /»A PJt *?7 Address City State/Zip Telephone State License ft 6 WORKERS'COMPENSATION " °°;": '! ^ ' 'J" ,./-:.:. ..... ; " M, °:C-; Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations f~1 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued B&*~- I have and will maintain workers compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker's compensation insurance carrier and policy number are Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1jHp,000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE Wlr*^-^^- DATE <C ~ 2- &"6C< ;7 OWNER-BUILbHji^lECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason D I, as owner of the property or my employees with wag/A as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided^hat such improvements are not intended or offered for sale If, however, the building or improvement is sold within one year of completion, the owner-builder wiUmave the burden of proving that he did not build or improve for the purpose of sale) [~| I, as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an ojXrier of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) n I am exempt under Section /_ Business and Professions Code for this reason 1 I personally plan to provide the majorJabor and materials for construction of the proposed property improvement Q] YES f~lNO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of me work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR /V£W-/?£S/DSV7Mi BUILDING PERMITS ONLY :E " V™/ " ; Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25532Tor 25534 of the Presley-Tanner Hazardous Substance Account <Xct' [H YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' fJ YES l~l NO Is the facility to be constructed imthm 1,000 feet of the outer boundary of a school site? [~1 YES O NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEFTING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT |8':;. CONSTRUCTION LENDING AGENCY "'11ST-,.: ""'11 '" . '.„,/' "JV '• - !W;K":;,.i I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME ' / "^ LENDER S ADDRESS 9. i APPLICANT CERTIFICATION ~~~~I3 "~r ' :' '"t^'"; . '"' j;:;., i '"*' °-:}<>-J- I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5 0' deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued By the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not comrHflnced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commerUep fqrjyjgriod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 01/25/2005 Permittt CB043400 Title CROWLEY RES 375 SF POOL Description Inspector Assignment JM 1681 DOCENARD Lot Type POOL Sub Type Job Address Suite Location APPLICANT DE MARIA LANDSCAPE Owner CROWLEY MICHAEL F II Remarks Phone 6199211412 Inspector Total Time CD Description 59 Final Pool Requested By JUSTIN Entered By CW Act Comment Associated PCRs/CVs Inspection History Date Description Act Insp 01/03/2005 59 Final Pool CO JM 12/13/2004 55 Fence/Pre-Plaster AP JM 10/08/2004 23 Gas/Test/Repairs AP JM 10/08/2004 51 Excav/Steel/Bonding/Fence AP JM 10/08/2004 52 Underground Plumbing AP JM 10/06/2004 51 Excav/Steel/Bonding/Fence CO JM Comments COMPLETE POOL COVER OK TO PLASTER - ALARMS OK EQUIP NEED BOND WIRE @ POOL MOTOR City of Carlsbad Public Works BUILDING PLANCHECK CHECKLIST POOLS Engineering BUILDING PLANCHECK NUMBER CB BUILDING ADDRESS \\0&[ PROJECT DESCRIPTION Pool ASSESSOR'S PARCEL NUMBER 2- ' 5' 9| O ENGINEERING DEPARTMENT APPROVAL The item you have submitted for review has been approved The approval is based on plans, information and/or specifications provided in your submittal, therefore, any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to build Date DENIAL Please see the attached report of deficiencies marked with D Make necessary corrections to plans or specifications for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review By By By Date Date Date ATTACHMENTS Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet ENGINEERING DEPT CONTACT PERSON [Jvvta OniNero-S. NAME Taniya Barrows _ City of Carlsbad ADDRESS 1635 Faraday Avenue Carlsbad, CA 92008 PHONE H \DevelOpmem Services\MASTERS\FORMS \CHECKLISTS \BUILDING PLANCHECK CKLIST FORM POOLS doc Rev 8/22/96 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 6O2-272O • FAX (760) 602-8562 ^ ST/ 51 BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 1 Provide a fully dimensioned site plan drawn to scale Show Arrow Q/feroperty Lines iS^tasf ™&, \ ® U & Proposed Structures ISX^tasements Show on site plan "\^f Drainage Patterns D Indicate what will happen with Existing & Proposed Slopes soil excavated from pool area C/Existing Topography E Retaining Walls (location and height) Note- If excavated soil is not to be removed from property but regraded on site, show proposed elevations and slopes. If any portion of retaining walls are over 4' in height, a separate permit is required Retaining Wall Permit CB _ Applied for _ Approved _ 3 Include on title sheet Site Address ^./Assessor's Parcel Number C Legal Description D Grading Quantities Cut Fill Import/Export a) If grading is not required, write "No Grading" on plot plan Q Q Q 4 Project does not comply with the following Engineering Conditions of approval for Project No Conditions were complied with by Date GRADING PERMIT REQUIREMENTS The conditions that invoke the need for grading permit are found in Section 11 06 030 of the Municipal code 5a Inadequate information available on Site Plan to make a determination on grading requirements Include accurate grading quantities (cut, fill, import, export) 5b Grading Permit required A separate grading plan prepared by a registered Civil Engineer must be submitted together with the completed application form attached Note: The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit Page 2 of 3 H \DevelopmemServices\MASTERS\FORMS ^CHECKLISTS \BUILDING PLANCHECK CKLIST FORM POOLS doc A ST/ 2ND-'' 3RD/ Q Q • Q 5c A Grading Permit has been applied for PE2 DWG Grading Inspector sign off by Date Q rj Q 5d No Grading Permit required MISCELLANEOUS PERMITS Q Q Q 6 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Wav and/or <O J n/J*. r\OO\l Pnvate work adjacent to the public Right-of-Way A separate Right-of-Way issued by the Engineering Department is required for the following Please complete attached Right-of-Way application form and return to the Engineering Department together with the requirements on the attached Right- of-Way checklist, at the time of resubmittal Right-of-Way Permit and Pool Building Permit will be issued simultaneously Q Q Q 7 Remarks Page 3 of 3 H \Deve!opmem Services\MASTERS\FORMS CHECKLISTS \BUILDING PLANCHECK CKLIST FORM POOLS doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS 3VQQ PATE o o y TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR « $10,000.00) OTHER PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING PLANNER ENGINEER DATE .. 'License Detail • • Page 1 of 2 ° CaliforniaWelcome Id "License Detail ~ CALIFORNIA CONTRACTORS STATE: LICEN Contractor License # 709362 DISCLAIMER A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on the lin button to obtain complaint and/or legal action information • Per B&PJ7Q71 1_7, only construction related civil judgments known to the CSLB are di • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base Extract Date 09/09/2004 * * * Business Information * * * DE MARIA LANDTECH P O BOX 87 SOLANA BEACH, CA 92075 Entity Corporation Issue Date 07/10/1995 Reissue Date 11/19/2002 Expire Date 11/30/2004 * * * License Status * * * This license is current and active All information below should be reviewed. * * * Classifications * * * (Class | Description ; JC53 :SWIMMINGPOOL: * * *Bonding Information CONTRACTOR'S BOND- This license filed Contractor's Bond number 167095 in the arm $10,000 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. htlp //\vww2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 09/09/2004 - 'License-Detail Page 2 of 2 Effective Date 09/09/2002 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) JOI MARIA certified that he/she owns 10 percent or more of the voting stock/equity of the corpc bond of qualifying individual is not required Effective Date 11/19/2002 * * *Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSUBANCE_FUND Policy Number 467-0000860 Effective Date 04/01/2002 Expire Date 04/01/2005 Workers Compensation History * * * Miscellaneous Information * * * Date Description 11/19/2002 j LICENSE REISSUED TO ANOTHER ENTITY Personnel List i License Number Request Contractor Name Request (Personnel Name Request £ Salesperson Request Salesperson Name Request © 2004 Slate of California Conditions of Use Privacy Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 09/09/2004 6o <I f O O :ce O •O O Q. . 4 V '0 rro , V>